Case 228

Case 228

Medical History

Woman, 49 years, smoker, hospitalized with severe malnutrition profile, low fever, important abdominal distension and sudden change in bowel habits, going from diarrhea to stop of feces disposal for 8 days, although maintaining elimination of flatus. Six months ago, she underwent a colonoscopy, which revealed shallow ulcers with a hyperemic halo in the distal ileum. The histopathological examination showed transmural inflammation, also lymphoid aggregates in the submucosa and in the outside of the muscle layer. CT scan of the abdomen was performed, which showed the following images:

Computed tomography of the abdomen, axial view, at the pelvic level.

Considering the clinical history, the findings of both colonoscopy and CT, which is the presented complication and its probable cause: